Y F Guo1, W J Ma2, Q J Zhang3, M Yu4, Y Z Xiao5, X L Guo6, Y L Zhu7, F Liu8, Y Ruan1, S Y Sun1, Z Z Huang1, Y Zheng1, F Wu1. 1. Institute of Chronic and Non-communicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China. 2. Guangdong Provincial Institute of Public Health, Guangzhou 511430, China. 3. Institute of Chronic and Non-communicable Diseases, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China. 4. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China. 5. Institute of Chronic and Non-communicable Diseases, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China. 6. Institute of Chronic and Non-communicable Diseases, Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China. 7. Institute of Chronic and Non-communicable Diseases, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China. 8. Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China.
Abstract
Objective: To estimate the incidence and distribution characteristics of fall related injury in people aged ≥50 years in 8 provinces in China and related physiological, psychological and social risk factors. Methods: Cross-sectional data were collected from adults aged ≥50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural). Results: Estimated incidence of fall related injury (road traffic injury was not included) was 3.2%. Ageing and multiple chronic conditions (OR=2.55, 95%CI: 1.41-4.64) was significantly associated with the incidence of fall related injury in urban area. In rural area, depression (OR=4.33, 95% CI: 2.52-7.42) and multiple chronic conditions (OR=2.46, 95%CI: 1.37-4.41) were associated with the incidence of fall related injury. Conclusions: This study estimated the incidence of fall related injury in adults aged ≥50 years in 8 provinces in China. A significant association between multiple chronic conditions and fall related injury were found in both urban and rural residents. Targeted measures should be taken for the prevention and control of chronic diseases in elderly population.
Objective: To estimate the incidence and distribution characteristics of fall related injury in people aged ≥50 years in 8 provinces in China and related physiological, psychological and social risk factors. Methods: Cross-sectional data were collected from adults aged ≥50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural). Results: Estimated incidence of fall related injury (road traffic injury was not included) was 3.2%. Ageing and multiple chronic conditions (OR=2.55, 95%CI: 1.41-4.64) was significantly associated with the incidence of fall related injury in urban area. In rural area, depression (OR=4.33, 95% CI: 2.52-7.42) and multiple chronic conditions (OR=2.46, 95%CI: 1.37-4.41) were associated with the incidence of fall related injury. Conclusions: This study estimated the incidence of fall related injury in adults aged ≥50 years in 8 provinces in China. A significant association between multiple chronic conditions and fall related injury were found in both urban and rural residents. Targeted measures should be taken for the prevention and control of chronic diseases in elderly population.
Authors: Xin Yuan; Changgui Kou; Min Zhang; Wenyuan Ma; Zhitao Tang; Haiyan Sun; Wenjun Li Journal: Int J Environ Res Public Health Date: 2022-06-11 Impact factor: 4.614